Adolescent HIV Risk-Social settings & Prevention Issues

青少年艾滋病毒风险-社会环境

• 批准号: 6627830
• 负责人: Beatrice J. Krauss
• 金额: $ 70.95万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-03-01 至 2006-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6627830
• 关键词: AIDS education /prevention; African American; HIV infections; Hispanic Americans; adolescence (12-20); behavioral /social science research tag; clinical research; disease /disorder proneness /risk; high risk behavior /lifestyle; human subject; interpersonal relations; interview; longitudinal human study; peer group; sex behavior; social group process; social model; social perception; socializations

DESCRIPTION (provided by applicant): Recent HIV or STI clusters in youth are associated with a particular social context for sexual behavior. The contexts for adolescent sexual behaviors are understudied. Preliminary work in the high HIV/STI prevalence Lower East Side of New York City indicates that approximately one-third of sexually active youth, age 11-16, have had a sexual experience in a setting where multiple partnerships, partner age disparities and concurrent drug/alcohol use are common; one in eight sampled 11-16 year old youth report attending such a setting. We propose a two-phase qualitative/quantitative quasi- longitudinal study of sexual socialization of LES 13-22 year olds. The project aims to describe for male and female youth 1) the perceived sexual/relational norms and perceived availability of social contexts for sexual/relational interaction; 2) the social controls and pressures facilitating or inhibiting entry into and operating within social contexts; 3) the relationship of norms and pressures to reported incidents of HIV/STI/unintended pregnancy risk; 4) develop descriptions of high- and low-risk relationship/setting trajectories using youth's descriptions of social labeling and other consequences of setting participation, and youth's descriptions of status and relationship management strategies attendant on labeling and other consequences; and 5) refine provisional theory to inform future research and prevention interventions. Developmentally- informed social context and influence theories underlie our provisional model. Eighty 13-22 year old African-American and Latino/a youth will be theoretically sampled to provide understanding of social contexts (e.g., particular high-risk setting participation, no participation). They will take part in three in-depth interviews for the study's qualitative model-building Phase 1. In Phase 2, a refined model will be tested using a variety of multivariate techniques and an additional 320 youth. For those youth that report on the same settings, network analysis can be done of settings. Given the sensitive nature of the research, we will be guided in study protocols by a panel with expertise in research and service to adolescents, including intervention researchers, epidemiologists, clinicians, policy analysts, legal advisors, and parents. Dissemination of results will alert other investigators and interventionists to risks associated with participation in particular social contexts among this age group, and sensitize those who work with adolescents to the influences that adolescents encounter within social contexts.

描述（由申请人提供）：青年最近的HIV或STI集群是 与特定的性行为社会背景有关。上下文 对于青春期的性行为进行了研究。最初的工作 纽约市下东侧的艾滋病毒/STI患病率表明 大约三分之一的性活跃年轻人，11-16岁 在多个伙伴关系，伴侣年龄差异的环境中经验 并发药物/饮酒很常见；八分之一的抽样11-16岁 青年报告参加了这样的环境。我们提出了两阶段 定性/定量准则性社会化纵向研究 Les 13-22岁。该项目旨在为男女青年描述1） 感知到的性/关系规范和社会的可用性 性/关系互动的背景； 2）社会控制和 促进或抑制进入社会内部和运营的压力 上下文； 3）规范和压力与报告的事件的关系 HIV/STI/意外怀孕风险； 4）制定高位和 使用青年对社会描述的低风险关系/设定轨迹 设置参与的标签和其他后果以及青年的 地位和关系管理策略的描述 标签和其他后果； 5）完善临时理论以告知 未来的研究和预防干预措施。发展知情的社会 上下文和影响理论是我们的临时模型。八十13-22 一岁的非裔美国人和拉丁裔/年轻人将被理论上取样 提供对社会环境的理解（例如，特定的高风险环境 参与，没有参与）。他们将参与三个深入 该研究定性模型建设阶段的访谈。在第2阶段， 精制模型将使用多种多元技术进行测试， 另外320名青年。对于那些在相同设置上报告的年轻人，网络 可以对设置进行分析。考虑到研究的敏感性， 我们将由具有研究专业知识和的专业知识的小组来指导我们的研究方案 为青少年提供服务，包括干预研究人员，流行病学家， 临床医生，政策分析师，法律顾问和父母。传播 结果将提醒其他调查人员和干预主义者对相关的风险 在这个年龄段的特定社会环境中参与，以及 使那些与青少年一起工作的人对青少年的影响 在社会环境中相遇。